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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPRYRHILLS <br />BUILDING DEPARTMENT <br /> <br />C!2~ <br /> <br />ATE :RECEIVED 3 <br />PLANS :REVIEW <br /> <br /> <br />OWNER'S NAME GfLA./J1J <br />JOB ADDRESS 3'7 '7 0 f <br /> <br />'7! 2.- 10' <.( <br /> <br />1-1 diU 2tJ# <br />N t t/~I'IA <br /> <br />/'11 .II, fl. <br />AvE. Ltrr <br /> <br />PHONE <br /> <br />ItJ <br /> <br />SUBDIVISION (;/.IMJI) tJo~( z,~~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # 3lf- 'J~ -")..( - (JOt 0- 0 I SOO - 00 t 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />~TALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL ~HER <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL I1LVffVllVi.hYl. r~';: <br />DESCRIPTION OF WORK l2A1~~.P ~{..-Iti>G'" Il40M... C A{ZfU(L.r I U -1l/)C)fV\- <br />, ( <br /> <br />BUILDING SIZE 12}(53 . lox Il.(- <br />l <br /> <br />SQUARE FOOTAGE <br /> <br />'11(P <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ILDING <br />~ECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ 10 (f)DO. 1:>0 <br />( <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W. R. E. C. f,.// tlC S Hf:-() <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />/3wu fl. ~ <br /> <br />COMPANY &~ H [()I.hr(l.()l- Tlh./ of- ~ FG. <br />STATE CERT OR REGIST # C8CD5'7,) 2- <br />CITY PROCESSING # ,.. (p <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ A ~ (k&J2 <br /> <br />COMPANY f/-GE ~(...Cc.nL(C <br />STATE CERT OR REGIST # <br />CITY PROCESSING #~R7 <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**********~******************************************************* <br /> <br />MECBARICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />